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Spine Condition

Sciatica Treatment

Relief for radiating leg pain caused by sciatic nerve compression. Dr. Hobbs provides expert diagnosis and a full range of treatments — from conservative care to minimally invasive surgery — to eliminate your sciatica and restore your quality of life.

Realistic posterior anatomical cutaway showing the lower spine, pelvis, and golden sciatic nerve descending through the buttock and thigh
Nerve anatomyThe sciatic nerve through the pelvis and thigh.Educational 3D illustration
Most cases improve in 4 to 6 weeks. The majority of sciatica resolves with conservative care.
Nonsurgical care comes first. Surgery is considered only after 6 to 12 weeks without relief, or if weakness progresses.
If surgery is needed, it is small. Microdiscectomy is usually under an hour, with most patients home the same day.
Medically reviewed by Jonathan G. Hobbs, M.D. · Updated June 2026
The condition

What Is Sciatica?

Sciatica refers to pain that radiates along the path of the sciatic nerve — the longest and largest nerve in the body. The sciatic nerve runs from the lower back through the buttocks and down the back of each leg. When this nerve is compressed or irritated at its root in the lumbar spine, it causes pain that can radiate from the lower back through the buttock and down the leg, sometimes reaching the foot.

Sciatica is not a diagnosis in itself but rather a symptom of an underlying condition that is compressing or irritating a nerve root in the lumbar spine. The most common cause is a herniated disc, but spinal stenosis, spondylolisthesis, and degenerative disc disease can also cause sciatica.

Sciatica typically affects only one side of the body. The pain can range from a mild ache to a sharp, burning sensation or excruciating discomfort. Some people also experience numbness, tingling, or muscle weakness in the affected leg or foot.

Interactive — trace the pain

Where Your Leg Hurts Points to the Nerve Root

Each lumbar nerve root supplies its own strip of skin and its own muscles. Tap the pattern that matches your pain to see what it often means — and what Dr. Hobbs checks for.

Lower back and buttockBack view
Lower back and buttock — illustrated pain patternBack view of the lower body. Gold highlights the lower back and buttock. One side is shown for clarity. Shading and nerve routes are approximate educational illustrations.Lower backButtock
Gold highlights the lower back and buttock. One side is shown for clarity.
Lower back and buttock
What this pattern suggests

Pain that starts in the low back or deep in the buttock is where the nerve roots leave the spine. It accompanies almost every cause of sciatica and does not by itself point to one level.

Clues that narrow it down

Pain worse with sitting, coughing, or sneezing suggests a herniated disc. Pain that builds with standing or walking and eases when you sit or lean forward suggests spinal stenosis.

What Dr. Hobbs checks

How far the pain travels, which side, what makes it better or worse, and a straight-leg-raise test that stretches the irritated root.

Patterns overlap and vary from person to person. Only an examination and imaging can confirm which nerve is involved — this guide is for education, not self-diagnosis.

Symptoms

Symptoms of Sciatica

Pain radiating from the lower back or buttock down the back of the thigh and leg
Sharp, burning, or shooting pain that may worsen with sitting, coughing, or sneezing
Numbness or tingling in the leg, calf, or foot
Weakness in the affected leg or foot (e.g., difficulty lifting the foot — foot drop)
Pain that is typically worse on one side of the body
Difficulty standing up or walking due to pain

Emergency Warning Signs

Seek immediate medical attention if you experience sudden loss of bladder or bowel control, numbness in the groin or inner thighs, or rapid progressive weakness in both legs. These may indicate cauda equina syndrome, a rare but serious condition requiring emergency surgery.

Causes

Common Causes of Sciatica

Sciatica is a symptom. Finding relief starts with finding the structure that is pressing on the nerve.

Treatment

Treatment Options for Sciatica

Dr. Hobbs strongly believes that nonsurgical solutions should be explored first. The majority of sciatica cases improve with conservative treatment within 4-6 weeks.

  1. Weeks 0 to 6

    Conservative care: physical therapy, anti-inflammatory medication, activity modification, and injections if needed. Most patients are improving well within this window.

  2. Weeks 6 to 12

    If pain persists, Dr. Hobbs reassesses with an examination and MRI to confirm exactly which nerve is compressed and why, and adjusts the plan.

  3. If Surgery Is Needed

    When conservative care has failed or weakness is progressing, a minimally invasive decompression frees the nerve — usually under an hour, usually home the same day.

Conservative Treatment

  • Physical therapy — Stretching and strengthening exercises to reduce nerve pressure and prevent recurrence
  • Anti-inflammatory medications — NSAIDs and oral steroids to reduce inflammation around the compressed nerve
  • Epidural steroid injections — Targeted injections to deliver anti-inflammatory medication directly to the compressed nerve
  • Activity modification — Avoiding aggravating positions while staying as active as possible

Surgical Treatment

When conservative care fails after 6-12 weeks, or when neurological symptoms worsen, Dr. Hobbs offers minimally invasive surgical options:

  • Minimally invasive microdiscectomy — Removes the herniated disc fragment pressing on the sciatic nerve through a small incision. Most patients go home the same day with immediate relief.
  • Laminectomy or foraminotomy — Creates more space for the nerve when sciatica is caused by stenosis or bone spurs.

Already have an MRI report you can't decode?

“Paracentral protrusion,” “foraminal narrowing,” “abutting the traversing L5 root” — Dr. Hobbs's plain-English lumbar MRI guide explains the phrases that show up on sciatica reports.

Understand your lumbar MRI
Jonathan G. Hobbs, M.D.
Jonathan G. Hobbs, M.D.
Board-Certified Neurosurgeon · Spine Surgery
American Board of Neurological SurgeryABNS
Certified
The University of ChicagoResidency
Chicago
University of KentuckyM.D.
Kentucky
Why Dr. Hobbs

Why Choose Dr. Hobbs for Sciatica Treatment

  • Board-Certified Neurosurgeon

    Certified by the American Board of Neurological Surgery, specializing in sciatica and nerve compression.

  • Elite Training

    University of Kentucky medical degree; neurosurgery residency at the University of Chicago, serving as chief resident.

  • Minimally Invasive Spine Surgery

    Specialty-trained in minimally invasive techniques; most decompressions are outpatient.

  • Conservative-First

    Nonsurgical solutions are always explored before recommending surgery.

  • Image-Guided Precision

    StealthStation navigation confirms the exact level and guides a targeted decompression.

  • Lakeshore Bone & Joint Institute

    Practicing at Northwest Indiana's most preferred orthopedic and spine practice, with offices in Crown Point & Chesterton.

Frequently Asked Questions About Sciatica

Sciatica is most commonly caused by a herniated disc in the lumbar spine pressing on the sciatic nerve root. Other causes include spinal stenosis, spondylolisthesis, degenerative disc disease, and piriformis syndrome. Dr. Hobbs performs a thorough evaluation including physical examination and MRI to identify the exact cause of your sciatica and develop the most effective treatment plan.
Most cases of acute sciatica improve within 4-6 weeks with conservative treatment. However, some patients experience chronic sciatica lasting longer than 3 months, especially when caused by structural problems like a large herniated disc or significant stenosis. If your sciatica hasn't improved after 6-12 weeks of conservative care, or if you have progressive weakness, Dr. Hobbs may recommend minimally invasive surgical intervention.
Yes. The majority of sciatica cases resolve with conservative treatment. Dr. Hobbs always explores nonsurgical options first, including physical therapy, anti-inflammatory medications, epidural steroid injections, and activity modification. Surgery is only recommended when conservative treatment fails after a reasonable period or when there are concerning neurological symptoms like progressive weakness or loss of function.
The most common surgical treatment for sciatica is a minimally invasive microdiscectomy. Dr. Hobbs removes the portion of the herniated disc pressing on the sciatic nerve through a small incision, typically less than one inch. The procedure usually takes under an hour, and most patients go home the same day with immediate pain relief. Recovery is significantly faster than traditional open surgery, with most patients returning to normal activities within 4-6 weeks.
Seek immediate emergency medical attention if you experience sudden loss of bladder or bowel control, numbness in the groin or inner thighs (saddle anesthesia), or rapidly progressive weakness in both legs. These symptoms may indicate cauda equina syndrome, a rare but serious condition requiring urgent surgery to prevent permanent nerve damage. This is a medical emergency — do not wait.

Get Relief from Sciatica

Don't let sciatic nerve pain control your life. Dr. Hobbs can help you find the right treatment to get back to doing what you love.

(219) 250-5010

Monday – Friday · 8:00 AM – 4:30 PM

Crown Point Office

500 E. 109th Avenue
Crown Point, IN 46307

Chesterton Office

601 Gateway Boulevard
Chesterton, IN 46304

Your next step

Discuss your spine care with Dr. Hobbs

Jonathan G. Hobbs, M.D. is a board-certified neurosurgeon at Lakeshore Bone & Joint Institute. For questions about sciatica treatment, call the office to arrange an individual evaluation and discuss which options may be appropriate.

Consultation offices: Crown Point, Chesterton. Your symptoms, examination, imaging, and prior treatment help guide the discussion.

Request a free second-opinion review

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